DR. NIRMALA SURESH KUMAR MD
NPI 1619059144
Internal Medicine - Endocrinology, Diabetes & Metabolism in Denver, CO

Active since October 20, 2006PECOS Enrolled
1055 CLERMONT ST, VA MEDICAL CENTER, DENVER, CO 80220(303) 399-8020 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nirmala Suresh Kumar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIRMALA SURESH KUMAR MD (NPI 1619059144) is an individual endocrinology, diabetes & metabolism provider in Denver, Colorado, licensed in Colorado (35759) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1619059144
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. NIRMALA SURESH KUMARCredential: MD
Location Address1055 CLERMONT ST, VA MEDICAL CENTERDenver, CO 80220
Mailing Address15606 E Prentice DrCentennial, CO 80015-4268 · (303) 683-9729 · Fax (303) 683-2647
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 20, 2006
Last NPPES UpdateNovember 23, 2009
NPI 1619059144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CO · 35759
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1055 CLERMONT ST, Denver, CO 80220

Other Identifiers 2

Medicare PINCO300453CO
Medicare PINCO306255CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nirmala Suresh Kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739250911
PECOS Enrollment IDI20080616000316
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services60 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
60 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers29 claims365 services$18.22 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers29 claims900 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers99 claims374 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers18 claims30 services$1.13 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers27 claims27 services$292.96 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers17 claims2,000 services$7.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1055 CLERMONT ST
DENVER, CO 80220
Psychologist
1055 CLERMONT ST
DENVER, CO 80220
Nurse Practitioner (Family)
1055 CLERMONT ST
DENVER, CO 80220
Specialist
1055 CLERMONT ST, 11B, AMBULATORY CARE
DENVER, CO 80220
Psychologist (Clinical)
1055 CLERMONT ST, MIRECC
DENVER, CO 80220
Pharmacist
1055 CLERMONT ST, PHARMACY DEPARTMENT
DENVER, CO 80220
Internal Medicine (Gastroenterology)
1055 CLERMONT ST
DENVER, CO 80220
Marriage & Family Therapist
1055 CLERMONT ST
DENVER, CO 80220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nirmala Kumar's NPI number?

The NPI number for Nirmala Kumar is 1619059144. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Nirmala Kumar located?

Nirmala Kumar practices at 1055 Clermont St VA Medical Center, Denver, CO 80220. The listed phone number is (303) 399-8020.

What is Nirmala Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nirmala Kumar enrolled in Medicare?

Yes. Nirmala Kumar is registered in the Medicare PECOS enrollment system.

What insurance does Nirmala Kumar accept?

Health plans from Medica and UnitedHealthcare list Nirmala Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nirmala Kumar was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.